Foster0
•
I
CITY OF LA CUINTA
/; '21HOME OCCUPATION PERMIT
APPLICATION
78-105 Calle Estado
P.O: Box 1504
La Quints. CA 82253
(618)561-2218
Read each condition listed on the attachment to this form to see if the
proposed activity can comply with the City's Home Occupation Regulations.
------------------------------------
(TYPE OR PRINT IN INK)
APPLICANT'S NAME gBARRY FOSTFR PHONE -649A 4-6441
PROPERTY OWNER .TOSF ('ANTI] PHONE 61 2-3363
PROPERTY ADDRESS 52066 AV!NED VI-ai-i3 La n„;^tay Ga92253
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S TNr_T.F
TYPE OF BUSINESS TRANSPORTATION CONSULTANT
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE Hr)MR r)r r Tr'F' F`OA
TYPED AND STORED ON COMPUTER.
NUMBER OF PERSONS INVOLVED IN BUSINESS_
LIST NAMES OF PERSONS EMPLOYED
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
IFPLICANT IS OTHER THAN ROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
IMPORTANT: False or misleading information shall be grounds for denying your
Home Occupation; failure to comply with conditions listed on the attached page
shall be grounds for revocation of permit.
BUILDING i SAFETY DEPAR iT UU q
APPROVED BY DATE "1 /� CONDITIONS ATTACHED
DENIED BY DATE
u vaaiv i
vu t LIx .. �-.y..�
effyo�
w
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
A A
HOUSE (EXCLUDE GARAGE) 1159
sq ft.
VALIDATION
STAMP
LOCATION AND SQUARE FOOTAGE
OF AREA OF
APR
22 1991
BUSINESS ACTIVITY IN HOME
(EXAMPLE,
"BEDROOM - 125 SQUARE FEET")
130DRE)EW 1 SO SQ FT.
DESCRIPTION OF MACHINERY,
EQUIPMENT,
AND SUPPLIES BEING D
SS
OPERATION
PHONE,
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
IFPLICANT IS OTHER THAN ROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
IMPORTANT: False or misleading information shall be grounds for denying your
Home Occupation; failure to comply with conditions listed on the attached page
shall be grounds for revocation of permit.
BUILDING i SAFETY DEPAR iT UU q
APPROVED BY DATE "1 /� CONDITIONS ATTACHED
DENIED BY DATE
0
I I"III
III'I'lII
II'I
'
15
0